.

Клініко-патогенетична характеристика остеопенічного синдрому при системних хворобах сполучної тканини у дітей та підлітків: Автореф. дис… канд. мед.

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OA?E?ANUeEEE AeA?AEAAIEE IAAeE*IEE OI?AA?NEOAO

OAA*AIEI Iaoaey Noai?neaa?aia

OAeE 616.71-007.234:616-018.2]-07-053.6

EE?I?EI-IAOIAAIAOE*IA OA?AEOA?ENOEEA INOAIIAI?*IIAI NEIAe?IIO I?E
NENOAIIEO OAI?IAAO NIIEO*II? OEAIEIEO Ae?OAE OA I?AeE?OE?A

14.01.10 – Iaae?ao??y

A A O I ? A O A ? A O

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Oa?e?a – 1999

Aeena?oaoe??th ? ?oeiien.

?iaioa aeeiiaia a Oe?a?inueeiio iaoeiai-aeine?aeiiio ?inoeooo? ioi?iie
caei?ia’y ae?oae ? i?aee?oe?a IIC Oe?a?ie, i. Oa?e?a.

Iaoeiaee ea??aiee:Aeieoi? iaaee/ieo iaoe, i?ioani?,

caneoaeaiee ae?y/ iaoee ? oaoi?ee Oe?a?ie,

EINOTH??IA Aaeeia Ieeeo?aia,

Oe?a?inueeee iaoeiai-aeine?aeiee ?inoeooo

ioi?iie caei?ia’y ae?oae ? i?aee?oe?a, i. Oa?e?a,

aieiaiee iaoeiaee ni?a?ia?oiee a?aeae?eo

iaoieia?? i?aee?oe?aIo?oe?ei? iiiiaioe:Aeieoi? iaaee/ieo iaoe, i?ioani?

IAeEIAOeUe TH??e Aaneeueiae/,

Oa?e?anueeee aea?aeaaiee iaaee/iee oi?aa?neoao,

caa?aeoth/ee eaoaae?ith oaeoeueoaonueei? iaae?ao???

c iaaee/iith aaiaoeeithAeieoi? iaaee/ieo iaoe, i?ioani?

AAUAIEI Ethaeieea Aieiaeeie??aia,

Aei?i?iiao?ianueea aea?aeaaia iaaee/ia aeaaeai?y,

caa?aeoth/a eaoaae?ith aini?oaeueii? iaae?ao??? ?1.

I?ia?aeia onoaiiaa: ?inoeooo iaae?ao???, aeooa?noaa ? a?iaeieia?? AII
Oe?a?ie, a?aeae?eaiiy aeeoa?aioe?eii? ae?aaiinoeee, i?io?eaeoeee ?
oa?ai?? caoai?thaaiue aioo??oi?o i?aai?a o ae?oae, i.Ee?a.

Caoeno a?aeaoaeaoueny “11” eenoiiaaea 1999 ?. i 12-30 aiaeei? ia
can?aeaii? niaoe?ae?ciaaii? a/aii? ?aaee Ae64.600.04 i?e Oa?e?anueeiio
aea?aeaaiiio iaaee/iiio oi?aa?neoao? (310022, i. Oa?e?a, i?. Eai?ia 4).

C aeena?oaoe??th iiaeia iciaeiieoenue o a?ae?ioaoe? Oa?e?anueeiai
aea?aeaaiiai iaaee/iiai oi?aa?neoaoo (i. Oa?e?a, i?. Eai?ia 4).

Aaoi?aoa?ao ?ic?neaiee “ 23 ” aa?aniy 1999 ?.

A/aiee nae?aoa?

niaoe?ae?ciaaii? a/aii? ?aaee, aeioeaio ________________ Ia/a?aiei E.?.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue oaie. I?iaeaia nenoaiieo oai?ia ciieo/ii? oeaieie (NONO)
? iaei??th c iaea?eueo aeooaeueieo o aeeoy/?e ? i?aee?oeia?e
?aaiaoieia?? aiane?aeie oyaeeino? ia?aaiao, iie?neiae?iiiino? e
ianeaiinoi aeieeath/eo o?aaeaiue, iiaaeiaeecaoei?, yea oaeaeei ianoa? a
iieiaeiio a?oe? (Ei?ai?a M.I., Einoth?iia A.M., 1996; Ianiiiaa A.O.,
1997; Aaiaeaea ?.I., 1997; Sokka N. et al., 1998). *anoioa ?aaiaoe/ieo
caoai?thaaiue (?C) iino?eii c?inoa?, ? na?aae ieo cia/io ieoiio aaao
iathoue ?aaiaoi?aeiee a?o?eo (?A) ? NONO (A?i?aieainueea E.?.,
A?aeacianueeee I.I., 1988; Eiaaeaiei A.I., 1997; Iiaeue/aiei E.?.,
Aeoaeea ?.A., 1993; Fonseka J.E. et al., 1998; Karaaslan Y. et al.,
1998). Iaae?ioaiinoue ieoaiue ?aiiuei? ae?aaiinoeee, nai??iaeiinoue
ia?aaiao caoai?thaaiue, neeaaei?noue aaeaeaaoiiai aoaiiiai e?eoaaiiy,
iiaeeea?noue iani?eyoeeaeo ianeiaeeia NONO o ae?oae ? i?aee?oe?a
coiiaeai? cia/ieie iae?i-aiaeie?eiieie e ii?oiooieoeiiiaeueieie ci?iaie
a ia??iae? noaoaaiai aeic?iaaiiy, ui ia??aeei i?ecaiaeyoue aei aaaeeiai,
i?ia?aaei?ioiiai ia?aaiao aeaieo oai?ia, ?aiiuei? oyaeei? ?iaae?aeiino?
(Einoth?iia A.M., 1996, 1997; Oieiia?aa I.I., 1997; Rooney M., 1998).
Aei oeueiai /ano i?aia?aoaie aeai?o i?e e?eoaaii? oaeeo oai?eo
caeeoathoueny aetheiei?oeeinoa?i?aee (AE) caaaeyee ?o oaeaee?e
i?ioecaiaeueiie oa iioiinoi?aneaiie ae??. Iaeiae ana a?eueo aeooaeueiith
noa? caaea/a iiia?aaeaeaiiy e e?eoaaiiy iiaeeeaeo iiai/ieo aoaeo?a
AE-oa?aii? aiane?aeie iaiao?aeiino? ?o o?eaaeiai ? aacia?a?aiiai
canoinoaaiiy, ye? ia??aeei iia??oothoue noai oai?eo ? caaaeueiee i?iaiic
iniiaiiai caoai?thaaiiy. ?icaeoie inoaiiaii? (II) i?e ?C a?aeiinyoue aei
iaeiiai c /anoeo ? aenieiiiaae?aeecoth/eo oneeaaeiaiue oa?aii?, yea
i?ecaiaeeoue aei aeieeiaiiy noa?i?aeieo niiiaeeeiiaoie ? eiii?anieieo
ia?aeii?a o?aaoa (Aeiiia Ae.I., 1988; Aeaeaaeea? Ae. ?c niiaaao., 1989;
Eiaaeaiei A.I., 1996, 1998; Iiai?icithe A.A. ?c niiaaao., 1998;
Sambrook P., Jones G., 1995; Mul D. et al., 1998). I?e oeueiio
caeeoathoueny iaae?ioaieie ieoaiiy iioe?aiinoi o?aaeaiue einoeiai?
oeaieie i?e ?C ?, iniaeeai, i?e NONO. Iaaeinoaoiuei aecia/aia
cia/ouinoue oe?eiai ?yaeo /eiiee?a, ui iiaeooue aieeaaoe ia ?icaeoie II
i?e NONO: noaoue ? a?e oai?eo, aeoeai?noue ? o?eaae?noue iaoieiai/iiai
i?ioeano, nenoaiiinoue o?aaeaiue niieo/ii? oeaieie, ?o aca?iica’ycie c
eieaeueieie i?ioeanaie a einoeiaie oeaiei? a?ey iioeiaeaeaieo noaeiaia.
Caeeoathoueny coia?a/eeaeie aeoiee i?i aieea oa?ai?? AE ia i?ioeane
iiia?aeicaoei? e?noie i?e ?C (Ianiiia ?.E. ?c ni?aaao., 1997).

Iacaaaeath/e ia iaaecae/aeio aaaeeea?noue noaio einoeiai? nenoaie a
aeeoy/iio e iiaeeioeiaiio a?oei aeey aeinyaiaiiy iieo einoeiai? iane e
i?io?eaeoeee aeieeiaiiy II ia iiaeaeueoeo aoaiao iioiaaiaco
(Iiai?icithe A.A., 1997), ?niothoue eeoa iiiaeeiie? ?iaioe, i?enay/ai?
aea/aiith noaio einoeiai? oeaieie i?e aeai?e iaoieiai? a ae?oae
(Iiaeue/aiei E.?., Aeoaeea ?.A., 1997; ?iaeiiiiaa N.N. ?c niiaaao.,
1997; Aieiaaiiaa I.TH. ?c niiaaao., 1998; Chesney R.W. et al., 1997;
Mul D. et al., 1998).

Aeuacaaaeaia aecia/eei aea?? iai?yieo aeine?aeaeaiiy noaio eicoeiai?
oeaieie a ae?oae ? i?aee?oe?a, oai?eo ia NONO, oeyoii aea/aiiy ?aii?o
i?iya?a ii?ooaiiy i?ia?aeueii? u?eueiino? e?noee (IUE), i?ia?aeueiiai
iai?io e iaoaaieicio i?aai?/ieo eiiiiiaio?a ciieo/ii? oeaieie, a oaeiae
aecia/aiiy i?noey II a iaoieia?? NONO ? na?aae oneeaaeiaiue AE-oa?aii?.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie. Aeaia
aeine?aeaeaiiy ? o?aaiaioii iaoeiai-aeine?aeieo ?ia?o “Oaeineiiaeaiiy
iaoiaeia eieoaaiiy iiaeeioeia ?c aeeoocieie caoai?thaaiiyie niieo/ii?
oeaieie ? i?ioieaeoeea oneeaaeiaiue ei?oeeinoa?i?aeii? oa?aii?” (oeo?
oaie: ?I. 1914.0037.96, ? aea?ae. ?a?no?aoe?? 0196U002913) ? “?ic?iaeoe
eeaneoieaoeith, iiai iaoiaee eieoaaiiy, aeiaaiinoeee oa i?ioieaeoeee
inoaiii?icia ?icii? aoiieiai? ia iniiai noai?aieo aenia?oieo nenoai,
eeiii/ieo, aenia?eiaioaeueieo oa iaoiaeieiai/ieo iaa?oiooaaiue” (oeo?
oaie: O. IE95.1, ? aea?ae. ?a?no?aoe?? 0196U000754).

Iaoa ?iaioe. Aaeineiiaeaiiy cania?a ?aiiueiai aeyaeaiiy inoaiiaii? i?e
nenoaiieo oai?iaao niieo/ii? oeaieie a ae?oae ? i?aee?oe?a oeyoii
aeine?aeaeaiiy i?ia?aeueii? u?eueiino? e?noee, iaoaaieicio i?aai?/ieo
eiiiiiaio?a niieo/ii? oeaieie e i?ia?aeueiiai iai?io.

Aeey aeinyaiaiiy iaoe aoee iinoaaeai? oae? caaea/?:

1. Aecia/eoe /anoioo e oa?aeoa? oneeaaeiaiue aetheiei?oeei?aeii? oa?aii?
o i?aee?oe?a i?e nenoaiieo oai?iaao niieo/ii? oeaieie.

2. Aea/eoe i?ia?aeueio u?euei?noue e?noee e /anoioo inoaiiaii? a
i?aee?oe?a, oai?eo ia nenoaii? oai?iae niieo/ii? oeaieie, ca aeaieie
iaeiioioiiii? aani?aoeiiiao?i?.

3. Aeine?aeeoe iai?i i?ia?ae?a oa i?aai?/ieo eiiiiiaio?a niieo/ii?
oeaieie i?e nenoaiieo oai?iaao niieo/ii? oeaieie.

4. Aeaoe ioe?ieo aca?iica’yceo iieaciee?a iai?io i?ia?ae?a ?
niieo/ii-oeaieiieo no?oeoo? ?c ii?ooaiiyie i?ia?aeueii? u?eueiino?
einoeiai? oeaieie a ae?oae oa i?aee?oe?a i?e nenoaiieo oai?iaao
niieo/ii? oeaieie.

Iaoeiaa iiaecia io?eiaieo ?acoeueoao?a. Oia?oa anoaiiaeaii /anoioa e
oa?aeoa? II o ae?oae ? i?aee?oe?a ?c NONO, aecia/aiee ?? ca’ycie ?c
o?eaae?noth caoai?thaaiiy, aeoeai?noth ? oyaee?noth ia?aaiao
iaoieiai/iiai i?ioeano. Aianai? iia? aeiiiaiaiiy aei oyaeaiue i?i
iaoiaaiaoe/io nooo?a?noue II o ae?oae ? i?aee?oe?a i?e NONO. Iieacaii,
ui i?e NONO II ? ia o?eueee oneeaaeiaiiyi AE-oa?aii?, a e iaeiei c
iaoiaaiaoe/ieo neiae?iiia iniiaiiai caoai?thaaiiy. Aecia/ai?
aca?iica’ycee ci?i iieaciee?a i?ia?aeueiiai iai?io e iaoaaieicio
i?aai?/ieo eiiiiiaio?a niieo/ii? oeaieie (??ai? eaeueoeith e oinoi?o
e?ia?, eoaeii? oinoaoace, oiiae?iioeinoeueoaoia (ON), caaaeueieo
ae?eicai?iiae?eainoeueoao?a (AAAn), aene?aoei? ienei?ieiio), ui
aiaeia?aaeathoue aeeaeio nenoaiiiai o?aaeaiiy niieo/ii? oeaieie, c
?icaeoeii II o ae?oae ? i?aee?oe?a i?e NONO ? ?A. Aeyaeaia aeniea
/anoioa oneeaaeiaiue AE-oa?aii? NONO o ae?oae ? i?aee?oe?a. Noai?aiee
aeai?eoi i?iaiicoaaiiy oneeaaeiaiue, iniiaaiee ia i?e/eiii-iane?aeeiaeo
ca’yceao ia?aaiao iaoieiai/iiai i?ioeano, iniaeeainoae ainoea?aeueieo
o?aaeaiue, o?eaaeino? canoinoaaiiy e aeice AE, ? aenieiiioi?iaoeaiei,
aeicaiey? i?iaiicoaaoe eiia??i?noue aeieeiaiiy oneeaaeiaiue AE-oa?ai??,
o oiio /ene? II, ? a/anii aiineoe ei?aeoei? a eiiieaenia e?eoaaiiy
oai?eo ia NONO.

I?aeoe/ia cia/aiiy io?eiaieo ?acoeueoao?a. Aecia/ai? iani?eyoeea?
oaeoi?e ?icaeoeo inoaiiaii? i?e NONO ? ?A a ae?oae ? i?aee?oe?a c
aeei?enoaiiyi aeaieo aeaineoiiao?i? oa a?io?i?/ieo iieaciee?a
i?ia?aeueiiai iai?io e iaoaaieicio iniiaieo i?aai?/ieo niieo/iioeaieiieo
no?oeoo?. Cai?iiiiiaai? aeiiiaiaiiy aei e?eoaaiiy oai?eo ?c NONO e
inoaiiaii/iei neiae?iiii. Ca iaoa??aeaie aeena?oaoe?eii? ?iaioe aeaeai?
iaoiaee/i? ?aeiiaiaeaoe?? “Eieoaaiiy oa aeeniaina?iee iaaeyae ca
iiaeeioeaie ic nenoaiiei /a?aiiei aia/aeii oa aaia?aeiciaaiei
?aaiaoi?aeiei a?o?eoii” (1995) ? “Aeiaaiinoeea, eieoaaiiy oa
i?ioieaeoeea inoaiiaii/iiai neiae?iio o iiaeeioeia, oai?eo ia nenoaiii
caoai?thaaiiy niieo/ii? oeaieie” (1998), neeaaeaia cayaea ia aeiao?ae c
iiceoeaiei ??oaiiyi ?98084290 a?ae 06.08.1998 ?. ?ic?iaeaiee aeai?eoi
i?iaiico aeicaiey? anoaiiaeoe eiia??i?noue aeieeiaiiy oneeaaeiaiue
AE-oa?ai??, a/anii i?iaiaeeoe i?io?eaeoe/i? caoiaee aeey ?o
iiia?aaeaeaiiy. Caniae ae?aaiinoeee e e?eoaaiiy inoaiiaii/iiai
neiae?iio i?e NONO ai?iaaaeaeai? a ee?i?oe? e iie?ee?i?oe? Oe?a?inueeiai
IAe? ICAeI, a iaeanieo oa i?nueeeo e?ea?iyo Oa?eiaa, Iieoaae,
Aei?i?iiao?ianueea, Eueaiaa, Oa?iiiiey, E?einuee?e ?anioae?eainuee?e
aeeoy/?e e?ea?i?. Ai?iaaaeaeaiiy cai?iiiiiaaieo noai ae?aaiinoeee e
ei?aeoei? eiiieaeniiai e?eoaaiiy ae?oae ? i?aee?oe?a ?c NONO aeicaieeei
?ai?oa aeyaeyoe ii?ooaiiy IUE ? i?iaiaeeoe i?io?eaeoeeo iiaeaeueoeo ci?i
ia aeieeiii/ieo ? aei?aioaaiieiai/ieo noaae?yo.

Iniaenoee aianie caeiaoaa/a. Aaoi? naiino?eii i?iaiaeeea ianoaaeaiiy,
e?eoaaiiy e niinoa?aaeaiiy a aeeiai?oe? oai?eo c on?ia oi?iaie NONO ?
?A, i?iaiaeeea i?aea?? oaiaoe/ieo oai?eo, cae?enieea ?ao?iniaeoeaiee
aiae?c oneeaaeiaiue AE-oa?aii?, iaieiae?ea iaoiaeeeith iaeiioioiiii?
aani?aoeiiiao?i? i?iiaiaai? e?noee, cae?enithaaea i?aeaioiaeo
a?ieia?/ieo ??aeei aei a?io?i?/ieo aeine?aeaeaiue. Aaoi?ii naiino?eii
i?iaaaeai? iaoaioii-?ioi?iaoe?eiee iiooe, aiae?c iaoeiai? e?oa?aoo?e c
aeine?aeaeoaaii? i?iaeaie, noaoenoe/iee aiae?c ?acoeueoao?a
aeaineoiiao?i? eiio?ieueii? a?oie e iaoaiaoe/ia ia?iaea, aiae?c oa
?ioa?i?aoaoe?y io?eiaieo aeaineoiiao?e/ieo ? a?io?i?/ieo ?acoeueoao?a o
aeine?aeaeoaaieo oai?eo, a oaeiae ai?iaaoe?y iaoaiaoe/ii? iiaeae?
i?iaiicoaaiiy oneeaaeiaiue.

Aeine?aeaeaiiy aeaineoiiao?e/ieo iieaciee?a o oai?eo ia NONO ? caei?iaeo
ae?oae ? i?aee?oe?a aeeiiaia ni?eueii ?c ni?a?ia?oieeaie Oa?e?anueeiai
IAe? i?oiiaaei? ? o?aaiaoieiai? ii. i?io. I.?.Neoaiea. Iaoaiaoe/ia
iiaeaethaaiiy e noai?aiiy aeai?eoio i?iaiico oneeaaeiaiue i?iaaaeaii
ni?eueii c eaiaeeaeaoii oiceei-iaoaiaoe/ieo iaoe, aeioeaioii eaoaae?e
aeui? iaoaiaoeee Oa?e?anueeiai aea?aeaaiiai iie?oaoi?/iiai oi?aa?neoaoo
A.I.Iaioeeiaith.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??. Iaoa??aee, aeeeaaeai? a
aeena?oaoe??, aoee iia?aeiieai? ia Ae?oaiio Iaoe?iiaeueiiio Eiia?an?
?aaiaoieiaia Oe?a?ie (Ee?a, 1997); Ae?oa?e ? O?ao?e Oe?a?inueeeo
iaoeiai-i?aeoe/ieo eiioa?aioe?yo “Inoaiii?ic: aiiaeaiiieiaiy, eeiiiea,
aeiaaiinoeea, i?ioieaeoeea oa eieoaaiiy” (Euea?a, 1997, Ee?a, 1999);
Ae?oaiio i?aeia?iaeiiio iaaee/iiio eiia?an? nooaeaio?a ? iieiaeeo a/aieo
(Oa?iiiieue, 1998), aea ?iaioa aoea iaai?iaeaeaia aeeieiiii ca I i?noea;
Oe?a?inuee?e iaoeiai-i?aeoe/i?e eiioa?aioe?? “Aeooaeuei? i?iaeaie
?aaiaoe/ieo caoai?thaaiue o ae?oae oa i?aee?oe?a” (Oa?e?a, 1996); VII oa
VIII i?nueeeo iaoeiai-i?aeoe/ieo eiioa?aioe?yo e?ea??a-iaae?ao??a
(Oa?e?a, 1998, 1999); ?a?iiaenueeiio eiia?an? c i?iaeai inoaiii?ico
(Aa?e?i, 1998), a oaeiae ia can?aeaii? Oa?e?anueeiai iaoeiai-iaaee/iiai
oiaa?enoaa aeeoy/eo e?ea??a (1997) ? ?aaiaoieiaia (1999), eiioa?aioe??
iieiaeeo a/aieo Oe?a?inueeiai IAeI ioi?iie caei?ia’y ae?oae oa
i?aee?oe?a (1996).

Ioae?eaoe??. Ca oaiith aeena?oaoe?? iioae?eiaaii 20 ?ia?o: 8
aeo?iaeueieo noaoae ? 12 ?ia?o a ca??ieeao, iaoa??aeao ? oacao
aeiiia?aeae eiia?ania, c’?cae?a ? eiioa?aioe?e. O?e noaoo? iioae?eiaai?
aac ni?aaaoi??a.

Ianya ? no?oeoo?a aeena?oaoe??. Aeena?oaoe?y neeaaea?oueny ?c anooio,
?icae?e?a “Iaeyae e?oa?aoo?e” ? “Ianya ? iaoiaee aeine?aeaeaiiy”, a
oaeiae o?ueio ?icae?e?a aeanieo aeine?aeaeaiue, aiae?co e ocaaaeueiaiiy
?acoeueoao?a aeine?aeaeaiue, aeniiae?a, i?aeoe/ieo ?aeiiaiaeaoe?e.

?iaioa aeeeaaeaia ia 170 noi??ieao ae?oeiaaiiai oaenoo, iethno?iaaia 34
oaaeeoeyie ? 18 iaethieaie, ui neeaaea? 29 noi??iie. Nienie e?oa?aoo?e
i?noeoue 298 aeaea?ae (151 – a?o/eciyieo oa e?a?i NIAe ? 147 –
?iicaiieo) ? neeaaea? 30 noi??iie.

CI?NO ?IAIOE

Iaoa??aee ? iaoiaee aeine?aeaeaiiy. A aeine?aeaeaiiy aoee aeeth/ai? 246
oai?eo: 173 – ?c NONO, na?aae yeeo o 116 iaa i?noea nenoaiiee /a?aiiee
aia/ae (N*A), o 15 – aea?iaoiiiiceo (AeI), o 18 – neea?iaea?i?y (NAe), o
24 – aoceeeiaee ia?ia?oa?i?o (AI), a oaeiae 73 iaoe??ioe c
aaia?aeiciaaiei aa??aioii ?A, a?aoiaoth/e ?aei?noue iniiaieo
iaoiaaiaoe/ieo iaoai?ci?a ?icaeoeo oeueiai caoai?thaaiiy ?c NONO.
A?oiith ii??aiyiiy i?e aea/aii? IUE aoee 13 oai?eo ?c noaeiaiaith
oi?iith ?A. In?a ae?ii/i? noao? aoei 171, /ieia?/i? – 75. Aei ii/aoeo
caoai?thaaiiy ca a?eii oai?? ?iciiae?eyeeny oaeei /eiii: aei 10 ?ie?a
caiaaeoaeaei 117 i?aee?oe?a, a 11-14 ?ie?a – 102, a 15-18 ?ie?a – 27.
O?eaae?noue caoai?thaaiiy eieeaaeany a?ae 2-3 i?nyoe?a aei 18 ?ie?a.
Aeey aecia/aiiy aeiaaiico oa nooiaiy aeoeaiinoi caiaeueiiai i?ioeano
ii?yae c ee?ii/iei ianoaaeaiiyi oai?iai i?iaiaeeeeny o?aaeeoe?ei?
eaai?aoi?i? aeine?aeaeaiiy e?ia?, ?ioiieiai/ieo iieaciee?a, aecia/aiiy
oyaeeino? o?aaeaiiy ie?ie oa ?o ooieoe?iiaeueiiai noaio. I?e
iaiao?aeiino? oai?ei i?iaiaeeeeny ?aioaaiieiai/ii aeine?aeaeaiiy i?aai?a
a?oaeii? ee?oee, e?noie neaeaoa, o?aaeaieo noaeiaia. Aeey inoaoi/iiai
ae?aaiico aeei?enoiaoaaany noai?aiee iaie ia aac? ?ioi?iaoe?eiiai e
noaoenoe/iiai aiae?c?a aeai?eoi aeeoa?aioe?aeueii? ae?aaiinoeee NONO,
caniiaaiee ia aeaieo aiaiiaco ?icaeoeo caoai?thaaiiy, ee?ii/ieo ?
eaai?aoi?ieo iieacieeao eiaeiiai oai?iai (Einoth?iia A.M. ?c niiaaao.,
1995). Aiae?c ee?ii/ieo i?iya?a, oa?aeoa?o ia?aaiao caoai?thaaiue ?
oneeaaeiaiue oa?aii? i?iaiaeeany ye i?e aaciina?aaeiueiio niinoa?aaeaii?
ca oai?eie a ee?iioe? e eiinoeueoaoeai?e iie?ee?iioe?, oae ?
?ao?iniaeoeaii, ca aeaieie inoi?ie oai?ia i?aee?oe?a, yei e?eoaaeeny a
?inoeooo? i?ioyaii inoaii?o 24 ?ie?a (1974-1998 ?.?.). C aeei?enoaiiyi
nenoaiii-?ioi?iaoe?eiiai e noaoenoe/iiai aiae?c?a, iniiaaieo ia aea/aii?
caeiiii??iinoae iaoiaaiaoe/iiai ?icaeoeo e ee?i?/ieo i?iya?a NONO, a
oaeiae iniaeeainoae ? /anoioe oi?ioaaiiy iia?/ieo aoaeo?a AE-oa?aiii,
i?iaaaeaii iaoaiaoe/ia iiaeaethaaiiy i?iaiico ?icaeoeo oneeaaeiaiue.

Aeey aecia/aiiy ?aii?o ci?i noaio einoeiai? oeaieie o 85 iaoei?io?a aoea
i?iaaaeaia iaeiioioiiia aani?aoeiiiao?iy ia e?noeiaiio aeaineoiiao?i
NK-364 (?00494000 O13) o??ie GAMMA MUVEK, Oai?ueia, a aeenoaeueiiio
aiioici i?iiaiaai? e?noee ia ??ai? 1/20 aeiaaeeie ia?aaeie?//y e o
ae?aoici ia a?aenoai? 1/3 a?ae aeenoaeueiiai noaeiaiaiai e?ioey
i?iiaiaai? e?noee, ui a?aeaeaa? a?aeiia?aeii noai aoa/anoi? oa
eiiiaeoii? einoeiai? oeaieie. Aeaea?aeii aei?iiiithaaiiy aoa icioii I125
c aeoeai?noth 7,4 GBq. Eaeia?oaaiiy i?eeaaeo i?iaiaeeeiny uiaeiy (i?e
eiaeiiio aeeth/aii? a aeaeo?iia?aaeo) ca noaiaea?oiei aoaeiiii. Iioeaea
aei???a ci?noo i?ia?ae?a ? IUE neeaaeaea 1,5%. ?acoeueoaoaie
aeine?aeaeaiiy aoee eicoeiai aeaineoia?aie, a oaeiae ?ic?aoiaai?
aeaeo?iiiith i?ia?aiith i?eeaaeo aaee/eie ai?noo i?ia?ae?a o e?nooe?
(a/ni) e iieacieee i?ia?aeueii? u?eueiino? e?noee (a/ni2).

Aeey ioe?iee io?eiaieo ?acoeueoaoia i?iaiae?ciaai? iieacieee IUE o 585
caei?iaeo ae?oae ? i?aee?oe?a a?ae 4 aei 18 ?ie?a, yei aoee ?iciiae?eai?
ca noaooth ? a?eii. Ii?yae c aaniethoieie iieacieeaie IUE ?ic?aoiaoaaany
ia?aiao? noaiaea?oiiai a?aeoeeaiiy () a?ae io?eiaiiai a eiio?ieuei?e
a?oi? a?eiai-noaoaaiai ii?iaoeao. Aeei?enoiaoth/e eiai cia/aiiy, aoee
aecia/ai? iaaei iieaciee?a MUE aeey aeyaeaiiy iayaiino? o oai?eo
inoaiiaii? oa inoaiii?ico. Ii?iaeueiei aaaaeaeiny cieaeaiiy IUE o iaaeao
iaeiiai noaiaea?oiiai a?aeoeeaiiy. Cieaeaiiy einoeiai? iane – inoaiiaiiy
– ae?aaiinooaaeany i?e cieaeaii? IUE a?eueoa iaeiiai noaiaea?oiiai
a?aeoeeaiiy, aea iaioa aeaio c iieiaeiith. Inoaiii?ic ae?aaiinooaaany
i?e cieaeaii? IUE a?eueoa aeaio c iieiaeiith noaiaea?oieo a?aeoeeaiue
(World Health Organ. Tech. Rep. Ser., 1994).

O oai?eo aea/aany i?ia?aeueiee iai?i e iai?i i?aai?/ieo eiiiiiaio?a
niieo/ii? oeaieie oeyoii aecia/aiiy eiioeaio?aoe?? eaeueoe?th a e?ia? e
na/i eiiieaeniiiiao?e/ieie oeo?oaaiiyie c aeei?enoaiiyi oethi?aeniia ye
?iaeeeaoi?a (Iie?ianueeee A.A., 1969), a oaeiae eiioeaio?aoe?? oinoi?o a
e?ia? e aeiaiaie na/i, aeoeaiinoi eenei? oa eoaeii? oinoaoac c
aeei?enoaiiyi oiioieiaaieo iaoiaeee (Eiea A.A., Eaieoiieia A.N., 1982;
Aa?aneiia A.I., Oo?oeaaa E.I., 1986). Aea/aany ai?no ON o ne?iaaooei
e?ia? ca ?aaeoe??th c ?eaaeiiii (Neooeueeee E.?., Eaina TH.TH., 1975),
noia?ieo AAAc oa ?o o?aeoe?e (Ooa?i I.?., Oeiioaiei I.I.,
Eaiioue?aa O.N., 1982), a oaeiae ??ai?a aeiaiai? aene?aoei? ienei?ieiio
ca M.Ventor ? W.Meng (E?aeue A.A., 1968) e o?iiiaeo eeneio ?c na/ath
(Ia?eo?’?aa ?.A., 1994). Aeey aeine?aeaeaiiy aeei?enoiaoaaeeny aaiicia
e?ia i?ney 12-aiaeeiiiai aieiaeoaaiiy e c?a?aia a oeae aea aeaiue
aeiaiaa na/a.

Noaoenoe/iee aiae?c io?eiaieo aeaieo i?iaiaeeany ca aeiiiiiaith
ia?aiao?e/ieo ? iaia?aiao?e/ieo e?eoa???a. Aeey ioe?iee io?eiaieo
a?io?i?/ieo iieaciee?a aoa i?iaaaeaiee ei?aeyoeieiee aiae?c.
Cae?enithaaeany iiiaeeiia ei?aeyoeiy ia?aiao??a; aecia/aiiy iniiaieo
/eiiee?a, ui aieeaathoue ia ?acoeueoaoe aeine?aeaeaiiy, oeyoii oaaiai?
?aa?ani? oa aeenia?n?eiee aiae?c aeey ioe?iee aieeao ocaaaeueithth/eo
/eiiee?a ia io?eiai? a aeine?aeaeaiiyo iieacieee. Iaoaiaoe/ia ia?iaea
i?iaaaeaia ca aeiiiiiaith i?ia?aie “Statgraphic” ia ia?niiaeueiiio
eiii’thoa?? IBM PC.

?acoeueoaoe aeine?aeaeaiiy. Aea/aiiy eeiii/ieo iniaeeainoae NONO i?e
i?iaaaeaii? ?ao?i- ? i?iniaeoeaiiai aiae?co iieacaei, ui ia no/aniiio
aoai? aeaatho oai?ia aeaii? a?oie i?eoiaeeany ia i?a-, ?aii?e ? aeania
ioaa?oaoiee ia?ioaee. I?e oeueiio ia N*A, AeI ? ia nenoaii? oi?ie ?A
caeaa?eueoa caoai?thaaee ae?a/aoa a ?aiiueiio e aeania ioaa?oaoiiio, ia
AI – oeii/eee a i?aioaa?oaoiiio ia??iae? e ia NAe – iaeiaeiai /anoi
iniae iaio noaoae i?aioaa?oaoiiai a?eo. Aeaatho NONO noi?iaiaeaeoaaany
o?aaeaiiyi oei?e, cia/ieie o?ioi/ieie ci?iaie o aeaeyae? cieaeaiiy iane
o?ea, aeoii/aiiy, aeiaaeiiiy ? eaieinoi aieinny, a oaeiae iayai?noth
noaeiaiaiai neiae?iio e noaeeiieie ii?ooaiiyie. Na?aae ainoea?eoia
iae/ano?oa ?icaeaaeeny ea?aeeo, iao?eo, ioeueiiiio, aaiaoeo, a oaeiae
aaiiiaoiy. I?e oeueiio aeey eiaeii? iicieiai/ii? oi?ie aoee oa?aeoa?i?
aeaye? a?aei?iiino?. I?e N*A iae/ano?oeie aoee ethion-iao?eo (63,17%),
ea?aeeo (49,51%), o?aaeaiiy oeaio?aeueii? ia?aiai? nenoaie (26,21%),
aaiiiaoiy (49,51%); i?e nenoaiiiio ?A – ea?aeeo (81,82%),
aaiaoiei?iaeueiee neiae?ii (72.73%), aaiiiaoiy (54,55%), ci?ie c aieo
ie?ie (27,27%). O an?o oai?eo ia AeI ae?aaiinooaaany aaiaoiei?iaeueiee
neiae?ii, o a?eueoino? – ea?aeeo (66,67%), o iieiaeie iaee i?noea
o?aaeaiiy ia?aiai? cenoaie. O oai?eo c AI iae/ano?oeie neiae?iiaie aoee
ea?aeeo (76,47%), aaiaoeo (76,47%), ioeueiiiio (35,29%), ?iaeoa –
o?aaeaiiy ie?ie (29,41%) e aaaeiiiiaeueiee neiae?ii (23,53%). Ee?ii/ia
ea?oeia NAe a?ae??ciyeany iae/ano?oeie na?aae on?o NONO o?ioi/ieie
(85,71%) e noaeeiieie (71,43%) i?iyaaie, caeo/aiiyi aei iaoieiai/iiai
i?ioeano i’yciai? nenoaie (64,70%) e aenieith /anoioith aaiaoiiaaaei?
(57,14%), ea?ae?aeueieo (28,57%) ? eaaaiaaeo (28,57%) ci?i.

Anoaiiaeaii, ui o a?eueoino? (81,55%) i?aee?oe?a ?c NONO oa
aaia?aeiciaaieie oi?iaie ?A iaee i?noea oneeaaeiaiiy AE-oa?aii?, i?e
oeueiio a a?eueoino? iaoei?io?a a?aecia/aio ii?aeiaiiy aeae?eueeio c ieo
(oaae. 1). Na?aae iia?/ieo aoaeo?a ae?oaa i?noea i?ney eooeiai?aeiiai
neiae?iio ca /anoioith ?icaeoeo caeiaee o?aaeaiiy einoeiai? oeaieie c
o?aooaaiiyi i?iaaaeaiiai aeaineoiiao?e/iiai aeine?aeaeaiiy ? ee?ii/ieo
i?iya?a o aeaeyae? aieueiaiai neiae?iio a ae?eyioe? o?aaoa, ye?
iineethaaeeny i?e o?eaaeiio aa?oeeaeueiiio iieiaeaiii, noaoe/iiio
iaaaioaaeaii?, a oaeiae ae?aaiinoiaaieo ?aioaaiieiai/ii eiii?anieieo
ia?aeii?a o?aaoeia, anaioe/ieo iae?icia aieiaee noaaia. Iaeiaioa /enei
iaaaoeaieo aoaeo?a AE-oa?aii? a?aecia/aeiny a iaoei?io?a, yei
caiaaeoaeaee a i?ciueiio ioaa?oaoiiio ia??iae?, i?e o?eaaeiio
aeei?enoaii? aenieeo i?eaii/oth/eo aeic AE.

Oaaeeoey 1 – *anoioa oneeaaeiaiue aetheiei?oeei?aeii? oa?aii? o
i?aee?oe?a?c nenoaiieie oai?iaaie niieo/ii? oeaieie oa
aaia?ae?ciaaiithoi?iith ?aaiaoi?aeiiai a?o?eoo (%m).

OneeaaeiaiiyN*AOIAeINNAe?AAnueiaiEooeiai?ae76,424,1269,579,8018,1812,191
8,1812,1927,405,2262,503,83Inoaiii?ic62,079,0142,8618,7068,7512,3953,851
3,8368,7511,5956,345,97Ii?ooaiiy
IO40,005,43———31,126,7235,653,65CN?21,052,518,696,019,099,09—50,003,0719
,112,51Naioe/ii22,644,0613,047,18——2,741,9112,452,16I?aeaeuaiiy
AO17,923,734,354,359,099,09—1,371,369,441,92CO?10,371,87———26,032,7014,1
62,28Aeeniaioe/ii9,432,84———4,112,325,571,50A?iceaiee

aano?eo5,662,24———1,371,363,001,12Ineo?/i?0,940,94————0,430,43Oeoe?iaee
ae?aaao3,771,85———1,371,362,150,95ANUeIAI88,683,0886,967,1836,3315,2118,
1812,2068,495,4481,552,54Aaaeeeaa cia/aiiy o aeieeiaii? iia?/ieo aoaeo?a
iaee oaeiae ee?ii/i? iniaeeaino? caoai?thaaiiy, nooi?iue aaia?aeicaoei?
iaoieia?/iiai i?ioeano a eiaeiiai oai?iai oa ?iaeea?aeoaeueia
ia?aiiniinoue AE. Naia aeai? iniaeeaino? aoee iieeaaeai? a iniiao
?ic?iaee aeai?eoio i?iaiicoaaiiy aeieeiaiiy oneeaaeiaiue, ui a?aoiaoaaa
i?e/eiii-iane?aeeia? ca’ycee ia?aaiao caoai?thaaiiy ? iayaiino?
ainoea?aeueieo o?aaeaiue (?en. 1). O?eaae?noue canoinoaaiiy ? aeice AE o
eiaeiiai oai?iai a?aoiaoaaeeny ca aeiiiiiaith ia?ao?aeieo eiao?oe??io?a
?iia??iinoae oneeaaeiaiue caeaaeii a?ae noia?ii? eo?niai? aeice
aetheiei?oeei?aeia. Aeei?enoaiiy ?ic?iaeaiiai aeai?eoio i?iaiico
oneeaaeiaiue aeicaieyei anoaiiaeoe eiia??i?noue aeieeiaiiy oeo aai ?ioeo
iia?/ieo aoaeo?a ia i?aenoaa? oa?aeoa?o ?icaeoeo e ia?aaiao NONO, a
oaeiae c o?aooaaiiyi aeice, caniao e o?eaaeino? aaeeaaiiy AE. Oea
c?iaeei iiaeeeaei ?aii? i?iaaaeaiiy iaiao?aeieo i?io?eaeoe/ieo caoiae?a
uiaei iiia?aaeaeaiiy aeieeiaiiy e i?ia?anoaaiiy oneeaaeiaiue AE-oa?aii?.
Aiae?c ?iaioe i?iiiiiaaiiai aeai?eoio i?iaiico iieacaa, ui ?ic?aoiaai?
i?iaiice ca?aathoueny c oneeaaeiaiiyie ia ??cieo aoaiao caoai?thaaiue o
92,0% aeiaaeeia.

wmetafile8? ?? 2???;????????&?

?yyyy????Word?Microsoft Word??????????
HI???u?????????????I???Courier
New?I????-?????????u¤y???????en. 1. Aeai?eoi ?iaeea?aeoaeueiiai
i?iaiico oneeaaeiaiuei?e ei?oeeinoa?i?aeiie oa?aii?.

Anoaiiaeaii, ui i?e NONO o iiaeeioeiaiio a?oei cieaeaiiy iieaciee?a
iiia?aeicaoei? einoeiai? oeaieie a?aeaoaaeiny a?eueoa i?ae o iieiaeie
oai?eo (56,34%) (oaae. 2), ui cia/ii ia?aaeuoaaei ee?ii/io aeyaeai?
ci?ie (17,59%, p

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